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Technetium Tc-99m Sestamibi, Diagnostic

West Virginia rates for HCPCS A9500

Technetium Tc-99m sestamibi, diagnostic, per study dose

Rates data updated July 2026.

How much does Technetium Tc-99m Sestamibi, Diagnostic cost?

$363

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $427 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$77.62 to $155
FacilityA hospital or hospital-owned outpatient department$427$224 to $692

How much rates vary

Facilitymedian $427 · 10th to 90th $115 to $933Professionalmedian $110 · 10th to 90th $20 to $407
$20$50$100$200$500$1Kfacility $427professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$426.58
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$109.65
Typical High
$407.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$645.65
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$309.03
Typical High
$1,148.15
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$446.68

Where West Virginia sits

The same service costs 5.4 times more in Utah than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 2nd of 51

$363

UT $513DC $95.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.